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Probate Court DATE FILED APPOINTMENT OF AGENT ... PC-3.5 ( Rev. 10/17) State of Rhode Island and Providence Plantations Probate Court Page 1 of 1 STATE OF RHODE ISLAND County of Estate

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Text of Probate Court DATE FILED APPOINTMENT OF AGENT ... PC-3.5 ( Rev. 10/17) State of Rhode Island and...

  • I the undersigned, respectfully represents that: Fiduciary Name

    Street Address

    City/Town State Zip Code

    Email Phone Number

    as Executor Administrator Guardian Other:

    hereby duly appoints and designates: Resident Agent Name Street Address

    City/Town State Zip Code

    Email Phone Number

    in said State of Rhode Island as my agent, and I do hereby stipulate and agree that the service of any legal process against me as such fiduciary if made or acknowledged by said agent, shall be of the same legal effect as if made upon me personally with said State of Rhode Island. Signature of Fiduciary Date

    I hereby accept the above appointment: Signature of Resident Agent Date

    DATE FILED FOR

    COURT USE ONLY APPOINTMENT OF AGENT

    RIGL 33-18-9

    PC-3.5 ( Rev. 10/17)

    State of Rhode Island and Providence Plantations Probate Court

    Page 1 of 1

    STATE OF RHODE ISLAND County of

    Estate of

    Alias

    PROBATE COURT OF THE City or Town of

    No.

    FIDUCIARY SIGN HERE

    RESIDENT AGENT SIGN HERE

    http://webserver.rilin.state.ri.us/Statutes/TITLE33/33-18/33-18-9.HTM

    Combo Box 4: [Select County] 3: 4: Combo Box 5: [Select City or Town] 6: 7: 8: 9: 10: 15: 16: 17: 18: 19: 11: 22: 23: 14: 12: 13: 20: 21: Check Box1: Off Check Box2: Off Check Box3: Off Check Box4: Off